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General NPI Number Information
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NPI Number | 1518145101
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Entity Type | Individual
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Provider Name | KIRSTEN LESLEY-BROWNING DARRELL PA-C
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Gender | Female
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Dates
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Enumeration Date | 02/05/2008
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Last Update Date | 10/19/2010
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Provider Practice Location Address
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Address Line | 4800D KAWAIHAU RD. HO' OLA LAHU'I HAWAII
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City | KAPAA
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State | HI
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Zip | 96746
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Country | US
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Telephone | 808-240-0122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 424
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City | KILAUEA
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State | HI
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Zip | 96754-0424
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Country | US
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Telephone | 808-722-6315
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | AMD316
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License Number State | HI
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